NPI: 1750859195 · MALVERN, AR 72104 · Community/Retail Pharmacy · NPI assigned 11/03/2018
| Authorized Official | DAVIS, SHELYN (PHARMACIST) |
| NPI Enumeration Date | 11/03/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 29 | $0.00 |
| 2020 | 13 | $0.00 |
| 2021 | 2,848 | $0.00 |
| 2022 | 278 | $0.00 |
| 2023 | 34 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0124A | 14 | 14 | $0.00 | |
| 91300 | 670 | 549 | $0.00 | |
| 0071A | 46 | 46 | $0.00 | |
| 0002A | 244 | 226 | $0.00 | |
| 0003A | 32 | 32 | $0.00 | |
| 0013A | 163 | 163 | $0.00 | |
| 0072A | 30 | 30 | $0.00 | |
| 91301 | 468 | 429 | $0.00 | |
| 0011A | 373 | 359 | $0.00 | |
| 0012A | 461 | 441 | $0.00 | |
| 91307 | 119 | 109 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 75 | 75 | $0.00 |
| 0064A | 95 | 95 | $0.00 | |
| 90674 | 13 | 13 | $0.00 | |
| 91306 | 35 | 35 | $0.00 | |
| 0001A | 271 | 245 | $0.00 | |
| 90694 | 40 | 40 | $0.00 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 34 | 34 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 19 | 15 | $0.00 |